Magnitude and factors contributing to occurrence of upper gastrointestinal bleeding at Amana hospital, Dar es Salaam from March 2010 to June 2011.
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Date
2012
Authors
Journal Title
Journal ISSN
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Publisher
Hubert Kairuki Memorial University
Abstract
OBJECTVE: Very few epidemiological upper gastrointestinal bleeding (UGIB) surveys have
been done. However, information about the current epidemiology of UGIB in Tanzania is not
known. The aim of this study was to determine the magnitude and factors contributing to
occurrence of upper gastrointestinal bleeding.
METHODS: From March 2010 to June 2011, 394 participants consecutively attended at
endoscopic unit at Amana regional referral hospital were prospectively included. Data were
collected prospectively with a standard questionnaire and included demographic as well as
specific data relating to UGIB.
RESULTS: Among all participants 21.6% presented with UGIB, male patients were most
affected by 59.1%. Varices were the commonest cause of UGIB accounting for 36.5% of all
causes followed by erosive mucosal disease (esophagitis, gastritis and duodenitis) for 30%. In
10% of patients with UGIB no diagnosis could be made at the endoscopy.
CONCLUSIONS: The magnitude and proportional of the causes of UGIB is similar to other
African and Indian studies, but different from those for the Europe and United States. Bleeding
could have been prevented if people at risk and symptoms do endoscopy early.
Description
A dissertation submitted in partial fulfillment of the requirements for the MMed
[Surgery] of the Hubert Kairuki Memorial University
Keywords
Amana hospital, Upper Gastrointestinal Bleeding, Epidemiology
Citation
Muhumba, E. K., 2012. Magnitude and factors contributing to occurrence of upper gastrointestinal bleeding at Amana hospital, Dar es Salaam from March 2010 to June 2011. HKMU